1. Acute toxic CNS effects:
a. Restlessness, dizziness, tremor, hypertensive reflexes, talkativeness, irritability, weakness, insomnia, fever and euphoria
2. Cardiovascular effects:
a. Hypertension, headache, chilliness, flushing, palpitations, cardiac arrhythmias, sweating and circulatory collapse
3. Gastrointestinal
a. Dry mouth, metallic taste, anorexia, nausea, vomiting, diarrhea, and abdominal cramps
4. Massive
overdoes:
a. loss of consciousness
b. Seizures
c. Hypertensive crisis
5. Chronic amphetamine use may lead to neurodegernation—loss of biogenic amine neurons
The nurse is caring for a client suspected of having bipolar disorder. Which assessment findings that have occurred over the period of a week support the nurse's suspicion?
1] Difficulty sleeping, obsession with death, hallucinations
2] Delusions, unkempt appearance, fatigue
3] Abnormal eating patterns, feelings of despair, flight of ideas
4] Increased goal-directed behavior and talkativeness, distractibility
Correct Answer: 3
Rationale 1: Symptoms of attention-deficit hyperactivity disorder [ADHD] include difficulty in paying attention and focusing on tasks, hyperactivity, distractibility, impulsivity, and talking excessively. Being distractible, unable to complete assignments, and interrupting other children are not typical 7-year-old behaviors. Depression does look different in children, but these symptoms are clearly symptoms of attention-deficit hyperactivity disorder [ADHD]. Being distractible, unable to complete assignments, and interrupting other children are symptoms of attention-deficit hyperactivity disorder [ADHD], not bipolar disorder.
Question 1 of 10
The nurse identifies the mechanism of action of the amphetamines as what?
Select all that apply.
Causing the release of norepinephrine
Causing the release of epinephrine
Causing the release of dopamine
Inhibiting the reuptake of norepinephrine
Inhibiting the reuptake of dopamine
A,C,D,E
Question 2 of 10
Which of the following statements
about bupropion are true?
Select all that apply.
Bupropion can reduce behavioral symptoms of ADHD.
Bupropion is more effective than stimulants.
Bupropion lacks the adverse effects associated with tricyclic antidepressants.
Bupropion poses a risk for seizures.
Bupropion is considered a second-line drug for ADHD.
A,C,D,E
Question 3 of 10
The nurse is teaching a patient with
attention-deficit/hyperactivity disorder [ADHD] about his prescription for methylphenidate [Ritalin LA]. Which statement by the patient indicates that the teaching was effective?
"I will take my medication once per day in the morning."
"I will chew this medication and take it with my ice cream."
"I will take this medication right before my evening meal."
"I will use an alarm to remind me to take this medicine three times daily."
A
Question 4 of 10
A patient is started on a trial of dextroamphetamine/amphetamine [Adderall] for ADHD. What is the most likely nursing diagnosis for inclusion in the plan of care?
Decreased cardiac output
Imbalanced nutrition, more than body requirements
Sleep pattern disturbance
Diversional activity deficit
C
Question 5 of 10
The healthcare
provider orders clonidine [Kapvay] 0.1 mg BID for a patient with ADHD. What will the total dose be for a 24-hour period?
0.1 mg
0.2 mg
0.4 mg
0.25 mg
2
Question 6 of 10
Which statement about tricyclic antidepressants for ADHD is true?
TCA drugs decrease hyperactivity.
TCA drugs decrease inattention.
TCA drugs work rapidly.
TCA drugs can be taken as needed [PRN].
A
Question 7 of 10
The nurse is caring for a patient taking dextroamphetamine [Dexedrine]. Which symptom, if present, is most likely an adverse effect of this drug?
Heart rate of 60 beats per minute
Respiratory rate of 10 breaths per minute
Weight gain
Restlessness
D
Question 8 of 10
Which patient
would the nurse anticipate being prescribed atomoxetine [Strattera] for ADHD?
An 18-year-old male effectively being treated with Adderall
A 10-year-old female with no previous treatment for ADHD
A 24-year-old male with a history of stimulant abuse
A 30-year-old female with a history of depression and ADHD
C
Question 9 of 10
Which statements about caffeine does the nurse identify as
true?
Select all that apply.
Caffeine can restore mental functioning during intoxication with alcohol.
Caffeine promotes constriction of cerebral blood vessels.
Caffeine promotes bronchodilation.
Caffeine is a diuretic.
Caffeine reduces the capacity for prolonged intellectual exertion.
B,C,D
Question 10 of 10
Which statement will the nurse include when teaching a patient about
atomoxetine [Strattera]?
Atomoxetine has no potential for abuse.
Atomoxetine is a central nervous system stimulant.
Atomoxetine exerts its therapeutic effect by increasing the release of dopamine.
Atomoxetine is not approved for the treatment of adults with attention-deficit/hyperactivity disorder.
A